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Hip/Pelvis/Thigh Sprain/Strain/Dislocation (without CC/MCC)

Maine rates for MS-DRG 538

Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC

Rates data updated October 2026.

How much does Hip/Pelvis/Thigh Sprain/Strain/Dislocation (without CC/MCC) cost?

$16,982

Typical facility fee. In Maine, October 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $13,183 to $21,380.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,982 · 10th to 90th $12,023 to $21,380
$10K$20Kfacility $16,982

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$16,982.44
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$21,379.62
Typical High
$21,379.62
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$18,197.01

Where Maine sits

The same service costs 74.1 times more in Michigan than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 5th of 51

$16,982

MI $20,417HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.